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Deactivated NPI 1275606360 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Clark , AuD

Audiologist • Tampa, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffrey Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date July 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Clark, AuD was a registered Audiologist practicing in Tampa, FL. Throughout an active medical career spanning 14 years, Dr. Clark provided care at the practice location at 3450 E FLETCHER AVE until profile deactivation on 2020-07-08.

Historical Medicare Part B clinical services included comprehensive hearing and speech recognition test, test for eardrum and muscle function, placement of ear probe for computerized measurement of sound with interpretation and report. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3450 E Fletcher Ave
Ste 240

Tampa, FL 336134655

Telephone 8135581477
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
115 Specialists

Practicing in Tampa, FL (1437 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
43 43 $92.44 $37.94
92550 Test for eardrum and muscle function
39 39 $25.00 $21.84
92587 Placement of ear probe for computerized measurement of sound with interpretation and report
36 36 $151.00 $21.84
92540 Evaluation and testing for balance with recording
36 23 $111.00 $103.06
92547 Use of electrodes during balance testing
32 21 $98.41 $7.08
92537 Test to assess balance during warm and cool irrigation in both ears
25 21 $211.52 $40.62

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License FL AY801

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
James Lucas

Hearing Instrument Specialist

NPI 1073865754

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 08, 2020

Record deactivated on July 08, 2020

NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2011

Registered at 3450 E FLETCHER AVE, STE 240, TAMPA, FL 336134655 (Tel: 8135581477)

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Updated Business Mailing Address October 26, 2011

Registered at 3450 E FLETCHER AVE, STE 240, TAMPA, FL 336134655 (Tel: 8135581477)

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Provider Name / Credentials Updated October 26, 2011

Recorded as JEFFREY CLARK, AUD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2011

Audiologist (License #AY801 in FL)

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Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275606360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: October 26, 2011
Deactivation Date: July 08, 2020

Mailing Address

3450 E Fletcher Ave, Ste 240

Tampa, FL 336134655

Phone: 8135581477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.